Individual provider Active NPI

Loay A Muftah, MD, DABR

  • Diagnostic Radiology Physician
  • Baton Rouge, LA
National Provider Identifier
1770565319
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
320973 Issued in LA
Practice address
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone
(225) 757-0552
Fax
(225) 763-9997
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 55067 CT
Diagnostic Radiology Physician 2085R0202X MD457434 PA
Diagnostic Radiology Physician 2085R0202X A86683 CA
Diagnostic Radiology Physician 2085R0202X 45629 TN
Diagnostic Radiology Physician 2085R0202X 320973 LA Primary

Addresses

Primary practice location

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375

Mailing address

4401 Colony PLZ
Newport Beach, CA 92660-6346
Phone (949) 245-9995

Other practice location 1

4401 Colony Plz
Newport Beach, CA 92660-6346
Phone (949) 706-6104

Other practice location 2

975 E 3rd St # 376
Chattanooga, TN 37403-2147
Phone (423) 778-7234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050614000828 CA Practitioner - Diagnostic Radiology 8820032550 Reassigns benefits to 2 organizations
I20210323001423 RI Practitioner - Diagnostic Radiology 8820032550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates LLCGroup PAC ID 8628041464, 83 clinicians

Practice addresses (Care Compare)

4401 Colony PLZ
Newport Beach, CA 92660-6346
Phone (225) 757-0552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45629TNMDPharmacist
A86683CAMDDiagnostic Radiology Physician
55067CTMDDiagnostic Radiology Physician
320973LAMDDiagnostic Radiology Physician
MD457434PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Aug 1, 2017 Accepting new patients
Quantum Medical Radiology PC Diagnostic Radiology Past Accepting new patients
Memrad Medical Group Inc Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Pomona Valley Imaging Medical Group Inc Past Accepting new patients
Spartan Radiology, Inc Diagnostic Radiology PastSince Jan 1, 2020 Accepting new patients

Locations

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1770565319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 COLONY PLZ",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606346",
            "telephone_number": "949-245-9995",
            "fax_number": "949-706-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084375",
            "telephone_number": "225-757-0552",
            "fax_number": "225-763-9997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Colony Plz",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926606346",
            "country_code": "US",
            "telephone_number": "949-706-6104",
            "fax_number": "949-640-1847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 E 3rd St # 376",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032147",
            "country_code": "US",
            "telephone_number": "423-778-7234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUFTAH",
        "first_name": "LOAY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD, DABR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "55067",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD457434",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A86683",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "45629",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "320973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.